Physical activity for fibromyalgia
Daily movement is an important component of fibromyalgia self-management. The choice of modality is less important than adherence to the practice, so encourage patients to choose the activity they can incorporate into their daily routine. Many patients find graded aerobic exercise to be a good option, particularly if they are physically deconditioned or have not been able to tolerate previous exercise regimens. This approach has been shown to reduce pain and fatigue and improve quality of life scores in patients with fibromyalgia. A graded exercise program should begin with very light aerobic exercise, such as walking or exercise in water. Exercise duration and intensity should be increased in small increments over a realistic time frame of several months. The program should be graded by the duration of time spent exercising rather than the pain experienced, to reduce the risk of unhelpful cycles of overexertion followed by inactivity. Further detail, including an example pacing plan, is given in Activity scheduling and pacing.
For specific advice on supporting a patient to commence and maintain a physical activity program, see Physical activity and managing chronic pain.